Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.79 / $351.79 / $440.83	Facility		$351.79	$351.79	$440.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $350.21 / $532.62	Professional		$259.93	$350.21	$532.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $449.38	Facility		$329.00	$329.00	$449.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $528.75 / $660.94	Professional		$329.00	$528.75	$660.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $59.42 / $691.33	Professional		$59.42	$59.42	$691.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.87 / $722.27 / $1,989.48	Facility		$91.87	$722.27	$1,989.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $261.04 / $538.96	Professional		$189.53	$261.04	$538.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.88 / $91.87 / $217.15	Facility		$88.88	$91.87	$217.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $106.99 / $179.80	Professional		$88.34	$106.99	$179.80
United Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $208.96 / $538.96	Professional		$189.53	$208.96	$538.96